चिकित्सा स्नातकोत्तर प्रवेश (MECEE-PG) MD / MS / MDS प्रवेश परीक्षा तयारी
चिकित्सा स्नातकोत्तर प्रवेश (MECEE-PG) – MD / MS / MDS प्रवेश परीक्षा
MECEE-PG – MD/MS/MDS · MECEE-PG (MD/MS/MDS)
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS/MDS प्रवेश: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A pediatrician is evaluating a 6-month-old infant presenting with fever, irritability, and poor feeding. Physical examination reveals enlarged cervical lymph nodes and a maculopapular rash that started on the face and spread downwards. Based on these findings, which of the following viral infections is MOST likely? (a) Rubella Virus (b) Cytomegalovirus (CMV) (c) Varicella-Zoster Virus (Chickenpox) (d) Adenovirus
सही उत्तर: क) Rubella Virus
(a) is correct. The symptoms – fever, enlarged lymph nodes, and a maculopapular rash spreading downwards - are highly characteristic of Rubella virus infection (German measles). (b) presents with more severe manifestations, typically including hepatosplenomegaly, while varicella presents as vesicular lesions and adenovirus causes respiratory illness primarily.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following cancers is MOST closely associated with chronic infection with Schistosoma haematobium?
सही उत्तर: ख) Transitional Cell Carcinoma
Chronic *Schistosoma haematobium* infection induces inflammation and fibrosis in the bladder, leading to a significantly increased risk of transitional cell carcinoma (previously known as urothelial cancer). Squamous cell carcinoma and adenocarcinoma are less commonly associated. Mucoepidermoid carcinoma is a salivary gland tumor.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe hypophosphatemia, cardiac arrhythmias, and respiratory failure following initiation of parenteral nutrition. Which of the following is the MOST likely underlying cause?
सही उत्तर: ख) Magnesium Depletion
Severe hypophosphatemia often develops following initiation of parenteral nutrition due to increased phosphate demand, leading to magnesium depletion which impairs cardiac function and contributes to respiratory failure. While other deficiencies can cause similar symptoms, magnesium depletion is the most specific association in this clinical context.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is characterized by the removal of the head and body of the pancreas, along with a portion of the stomach and duodenum?
सही उत्तर: ग) Whipple Procedure
The Whipple procedure (also known as Pringle’s operation) involves resection of the head, neck, and part of the duodenum, along with a portion of the pancreas. It is performed for cancers located in this region. Cholecystectomy is gallbladder removal, distal pancreatectomy involves only the tail of the pancreas, and Kyle Procedure is an anterior extraperitoneal approach to hysterectomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old male presents with a painless testicular mass and elevated serum alpha-fetoprotein levels. Which of the following is the most likely diagnosis?
सही उत्तर: क) Testicular Cancer (Seminoma)
Elevated serum AFP, especially in conjunction with a testicular mass in a young male, strongly suggests Testicular Seminoma which frequently produces AFP. While other conditions could present similarly, AFP levels and the presence of a mass make seminoma the most probable diagnosis. Cryptorchidism and hydroceles are also common causes of testicular masses but do not typically elevate AFP.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Alvarado score, used in initial assessment of acute abdominal pain, primarily evaluates which of the following signs and symptoms?
सही उत्तर: ख) MANTRELS (Markedly raised serum albumin, markedly elevated temperature, respiratory distress, tenderness to palpation, rigidity, leucocytosis)
The Alvarado score is a clinical scoring system designed for rapid assessment of patients with suspected acute abdominal pathology. It incorporates key signs and symptoms – MANTRELS – to guide initial management decisions. The other options represent distinct diagnostic criteria or symptom complexes that would not form the core of the Alvarado score.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The process of glomerular filtration is primarily driven by ____. (A) Active transport mechanisms requiring ATP expenditure. (B) Hydrostatic pressure exerted by the blood against the capillary walls, with colloid osmotic pressure opposing it. (C) Osmosis across the glomerular membrane, influenced by differences in solute concentrations. (D) Electrochemical gradients established across the podocyte cell membranes.
सही उत्तर: ख) (B) Hydrostatic pressure exerted by the blood against the capillary walls, with colloid osmotic pressure opposing it.
Option (B) is correct; the net driving force for filtration is the difference between hydrostatic pressure (blood pushing against the capillary walls) and colloid osmotic pressure (protein's effect on fluid movement). Options (A), (C) and (D) are incorrect as they describe supplementary mechanisms or contribute to the process but aren’t the primary driver.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements accurately describes the role of carbonic anhydrase in red blood cells? (A) It catalyzes the breakdown of glycogen into glucose and fructose. (B) It facilitates the conversion of carbon dioxide and water to bicarbonate ions, essential for CO2 transport. (C) It directly binds oxygen molecules to hemoglobin, increasing oxygen affinity. (D) It synthesizes ATP from ADP and phosphate, providing energy for cellular processes.
सही उत्तर: ख) (B) It facilitates the conversion of carbon dioxide and water to bicarbonate ions, essential for CO2 transport.
Option (B) is correct as carbonic anhydrase’s primary function in red blood cells is to catalyze the reaction between CO2 and H2O, forming bicarbonate – a major component of the blood's oxygen-carrying capacity. Options (A), (C) and (D) describe different biochemical processes that do not relate directly to carbonic anhydrase.”} , {
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary function of Bowman's capsule in the nephron is to _____ (A) Reabsorb glucose and amino acids back into the bloodstream. (B) Filter blood, removing waste products and forming filtrate. (C) Secrete potassium ions and hydrogen ions into the renal tubule. (D) Regulate blood pressure through vasoconstriction or vasodilation.
सही उत्तर: ख) (B) Filter blood, removing waste products and forming filtrate.
Option (B) is correct because Bowman's capsule is the initial filtering unit in the nephron, responsible for separating water, electrolytes, glucose, amino acids, and waste products from the blood to form the filtrate. Options (A) and (C) describe secondary processes of reabsorption or secretion which occur later in the nephron’s journey. Option (D) is incorrect as blood pressure regulation occurs through other mechanisms.”}],
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pregnant woman at 36 weeks gestation presents with sudden onset hypertension and proteinuria. Laboratory investigations reveal elevated creatinine levels. Based on these findings, which of the following diagnoses is MOST likely?
सही उत्तर: ग) Eclampsia
The combination of new-onset hypertension and proteinuria with end-organ dysfunction (indicated by elevated creatinine) strongly suggests pre-eclampsia. Eclampsia develops if seizures occur, HELLP syndrome has further specific blood abnormalities, and gestational diabetes is characterized by hyperglycemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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